FLUMADINE
General description
Flumadine is the brand name for the drug rimantadine produced
by Forest Pharmaceuticals. It is a synthetic antiviral drug used
to treat infection by various strains of influenza A virus.
Flumadine is available in tablet and syrup forms, both for oral
administration.
Mechanism
The mechanism is not fully understood. It appears to inhibit
the viral replicative cycle early on byt possibly inhibiting virus
uncoating.
Indications
Flumadine is indicated for prophylaxis and treatment of infections
caused by various strains of influenza A virus.
Usage/Dosage
For adults, the recommended treatment is 100 mg of Flumadine
twice daily. Dosage should be reduced to 100 mg once daily for
patients with severe hepatic or renal dysfunction.
Precautions
Flumadine has been linked to increased incidence of seizure
in patients with histories of epilepsy. In populations at high
risk for influenza infection, transfer of rimantadine resistant
strains should be considered. Flumadine interacts with cimetidine
, acetaminophen, and aspirin in a manner that reduces efficy of
treatment.
Contraindications
Flumadine is contraindicated for patients with known
hypersensitivity to drugs of the amantadine class, including
rimantadine and amantadine.
Potential Adverse Effects
For patients with normal renal and hepatic function,
Flumadine produced a low frequency of adverse effects.